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NPI Code Detail

MEDICARE: DR. MARTIN PHILIP DUECK PHARM. D.

MEDICARE: DR. MARTIN PHILIP DUECK PHARM. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPH36987CA

General Provider Information

NPI Number : 1689963498
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARTIN PHILIP DUECK PHARM. D.
Provider Business Mailing Address
First Line : 2990 E NEES AVE
Second Line :
City : FRESNO
State : CA
Zip : 93720-6008
Country : US
Telephone Number : 559-297-4306
Fax Number : 559-297-4541
Provider Business Practice Location Address
First Line : 2990 E NEES AVE
Second Line :
City : FRESNO
State : CA
Zip : 93720-6008
Country : US
Telephone Number : 559-297-4306
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2011
Last Update Date : 04/01/2011

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